ED “Times, they are a changin” Administrative goals for the ED Ø 1988 – No problems or complaints Ø 1993 – “As California goes. . . ” Let’s downsize the ED. After all, we are going to see fewer patients. ”

Emergency Medicine Statistical Profile Aug, 2003 (acep. org)

Emergency Medicine Statistical Profile Aug, 2003 (acep. org)

ED “Times, they are a changin” Administrative goals for the ED Ø 1988 – No problems or complaints Ø 1993 – “As California goes. . . ” Let’s downsize Ø 1998 – Be nice to the ones who pay: and we’ll support you

ABEM - Model Ø Current lack of focus on PM Ø All examples relate to pain presentations Ø Pain only mentioned 9 times in content Ø Appendix – Procedures and Skills – “Other” Ø If a focus is created Ø Programs will teach it Ø ABEM will test it Ø Add to the LLSA reading list